Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Sample Characteristics
3.2. Food Consumption
3.3. Knowledge, Attitudes, and Practices (KAP) Related to Salt
3.4. Associations between KAP Related to Salt and Socio-Demographic Characteristics
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | All 2 | Benin | Guinea | Kenya | Mozambique | Seychelles |
---|---|---|---|---|---|---|
Participant characteristics | ||||||
Total sample size (n) | 588 | 140 | 119 | 102 | 77 | 150 |
Female (%) | 54 (50−58) | 51 (43–60) | 52 (43–61) | 49 (39–59) | 61 (50–71) | 58 (50–66) |
Age (mean) | 42 (41–43) | 42 (41–44) | 43 (41–45) | 43 (41–45) | 41 (39–43) | 42 (40–44) |
25−44 years (%) | 57 (53−61) | 54 (45–62) | 59 (50–67) | 54 (44–63) | 61 (50–71) | 56 (48–64) |
45−65 years (%) | 43 (39–47) | 46 (38–55) | 41 (33–50) | 46 (37–56) | 39 (29–50) | 44 (36–52) |
Completed primary school (%) | 80 (76–83) | 56 (47–64) | 78 (70–85) | 88 (80–93) | 77 (66–85) | 99 (95–100) |
Overweight (%) | 30 (26–34) | 31 (24–39) | 24 (17–32) | 24 (16–33) | 32 (22–43) | 40 (32–48) |
Obese (%) | 24 (21–28) | 24 (17–31) | 16 (10–24) | 23 (16–32) | 29 (20–41) | 29 (23–37) |
High blood pressure or treatment for hypertension (%) | 26 (22–30) | 26 (20–34) | 18 (12–26) | 25 (18–35) | 26 (17–37) | 37 (29–45) |
Treatment for hypertension (%) | 15 (12–18) | 9 (5–15) | 13 (8–21) | 17 (11–25) | 17 (10–27) | 19 (13–26) |
Household assets | ||||||
Running water (%) | 74 (70–78) | 68 (60–75) | 83 (75–89) | 30 (22–40) | 90 (80–95) | 99 (95–100) |
Electricity (%) | 90 (87–92) | 86 (80–91) | 99 (94–100) | 70 (60–78) | 96 (89–99) | 100 (100–100) |
Fridge (%) | 59 (55–63) | 19 (13–26) | 71 (62–78) | 30 (22–40) | 77 (66–85) | 100 (100–100) |
Radio (%) | 89 (86–92) | 87 (80–92) | 80 (72–87) | 86 (78–92) | 94 (85–97) | 99 (95–100) |
Television (%) | 87 (84–89) | 77 (69–83) | 92 (86–96) | 66 (56–74) | 99 (91–100) | 100 (100–100) |
Cable television (%) | 47 (43–51) | 48 (40–56) | 79 (71–85) | 29 (21–39) | 16 (9–26) | 65 (57–72) |
Bicycle or motorcycle (%) | 28 (25–32) | 64 (55–71) | 29 (21–37) | 30 (22–40) | 5 (2–13) | 13 (8–19) |
Car or truck (%) | 24 (21–28) | 6 (3–12) | 40 (32–49) | 8 (4–15) | 22 (14–33) | 43 (36–51) |
Food item | Benin | Guinea | Kenya | Mozambique | Seychelles |
---|---|---|---|---|---|
Staple foods | |||||
Rice | |||||
Maize | |||||
Potato | |||||
Yam | |||||
Bread | |||||
Fruits and vegetables | |||||
Salad | |||||
Vegetables | |||||
Fruits | |||||
Animal products | |||||
Chicken | |||||
Red meat | |||||
Processed meat | |||||
Fish | |||||
Eggs | |||||
Cheese | |||||
Other foods | |||||
Soup | |||||
Pizza | |||||
Breakfast cereals | |||||
Savory snacks | |||||
Sweets and pastries | |||||
Supplements or vitamins | |||||
Non-alcoholic beverages | |||||
Tea | |||||
Coffee | |||||
Commercial soft drink | |||||
Locally made lemonade | |||||
Fresh fruit juice | |||||
Non-fresh fruit juice | |||||
Milk |
Knowledge, Attitudes, and Practices | All 1 | Benin | Guinea | Kenya | Mozambique | Seychelles |
---|---|---|---|---|---|---|
Knowledge | ||||||
High salt intake can cause serious health problems | ||||||
Yes | 85 (82–88) | 93 (88–97) | 66 (57–74) | 87 (79–92) | 88 (78–93) | 92 (86–95) |
No | 5 (3–7) | 2 (1–7) | 5 (2–11) | 6 (3–13) | 4 (1–12) | 6 (3–11) |
Don’t know | 10 (8–13) | 4 (2–9) | 28 (21–37) | 7 (3–14) | 8 (4–17) | 2 (1–6) |
Health problems are associated with high salt intake | ||||||
≥1 problem known | 66 (61–70) | 87 (78–92) | 64 (52–74) | 48 (38–59) | 93 (81–98) | 50 (41–59) |
None known | 34 (30–39) | 13 (8–22) | 36 (26–48) | 52 (41–62) | 7 (2–19) | 50 (41–59) |
It is important to limit salt intake | ||||||
Very important | 9 (7–12) | 7 (4–13) | 20 (13–28) | 7 (3–14) | 7 (3–15) | 5 (2–10) |
Somehow important | 12 (9–14) | 4 (1–8) | 23 (16–32) | 14 (9–23) | 0 (0–0) | 17 (12–24) |
Not really important | 79 (76–82) | 89 (83–93) | 57 (48–66) | 79 (70–86) | 93 (85–97) | 78 (70–84) |
Attitudes | ||||||
Try to limit salt | ||||||
Often | 55 (51–59) | 76 (68–82) | 47 (38–57) | 54 (44–63) | 66 (54–76) | 32 (25–40) |
Sometimes | 16 (13–19) | 11 (7–18) | 18 (12–26) | 26 (18–36) | 3 (1–11) | 22 (16–29) |
Not really | 29 (25–33) | 13 (8–20) | 35 (26–44) | 20 (13–29) | 31 (21–43) | 46 (38–54) |
Perceived amount of salt consumed | ||||||
Too little | 26 (22–30) | 2 (1–6) | 55 (46–64) | 36 (27–45) | 30 (21–41) | 7 (4–12) |
About right | 59 (55–63) | 96 (92–99) | 20 (14–28) | 52 (43–62) | 60 (48–70) | 67 (59–74) |
Too much | 8 (6–10) | 1 (0–5) | 5 (2–11) | 12 (7–20) | 10 (5–20) | 11 (7–17) |
Don’t know | 7 (5–9) | 1 (0–5) | 19 (13–27) | 0 (0–0) | 0 (0–0) | 16 (11–23) |
Practices | ||||||
Salt is added during cooking | ||||||
Never | 2 (1–3) | 2 (1–6) | 3 (1–8) | 2 (0–8) | 0 (0–0) | 1 (0–5) |
Sometimes (1–2 times/week) | 7 (5–9) | 1 (0–5) | 27 (20–36) | 3 (1–9) | 3 (1–10) | 0 (0–0) |
Often (most meals) | 19 (16–22) | 5 (2–10) | 18 (12–26) | 30 (22–39) | 27 (18–38) | 15 (10–21) |
Always (all meals) | 73 (69–76) | 92 (86–96) | 52 (43–61) | 65 (56–74) | 70 (59–79) | 84 (77–89) |
Salty condiments are used during cooking 2 | ||||||
Never | 9 (6–11) | 6 (3–12) | 8 (4–14) | 21 (14–31) | 4 (1–11) | 4 (2–9) |
Sometimes (1–2 times/week) | 26 (23–30) | 7 (4–13) | 29 (22–38) | 32 (23–42) | 25 (16–36) | 38 (30–46) |
Often (most meals) | 22 (18–25) | 9 (5–15) | 11 (6–18) | 24 (17–34) | 25 (16–36) | 40 (32–48) |
Always (all meals) | 42 (38–47) | 78 (70–84) | 50 (41–59) | 17 (11–26) | 47 (36–58) | 18 (13–25) |
Salt is added to food at the table | ||||||
Never | 66 (62–70) | 71 (63–78) | 46 (37–55) | 46 (36–56) | 82 (72–89) | 87 (80–91) |
Sometimes (1–2 times/week) | 23 (20–27) | 24 (17–31) | 33 (25–42) | 37 (28–47) | 12 (6–21) | 9 (6–15) |
Often (most meals) | 6 (4–8) | 2 (1–6) | 14 (8–21) | 8 (4–15) | 4 (1–11) | 2 (1–6) |
Always (all meals) | 5 (3–7) | 3 (1–7) | 8 (4–14) | 9 (5–16) | 3 (1–10) | 2 (1–6) |
Consumption of foods high in salt 3 | ||||||
Never | 34 (30–38) | 1 (0–6) | 41 (32–50) | 16 (10–24) | 83 (73–90) | 28 (21–36) |
1–2 times/week | 15 (13–18) | 7 (4–13) | 38 (30–48) | 18 (11–27) | 1 (0–9) | 12 (8–18) |
3–4 times/week | 29 (25–32) | 5 (2–10) | 9 (5–16) | 54 (45–64) | 16 (9–26) | 58 (50–66) |
Every day/almost every day | 21 (18–25) | 86 (79–91) | 6 (3–12) | 12 (7–20) | 0 (0–0) | 2 (1–6) |
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Leyvraz, M.; Mizéhoun-Adissoda, C.; Houinato, D.; Moussa Baldé, N.; Damasceno, A.; Viswanathan, B.; Amyunzu-Nyamongo, M.; Owuor, J.; Chiolero, A.; Bovet, P. Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries. Nutrients 2018, 10, 1028. https://doi.org/10.3390/nu10081028
Leyvraz M, Mizéhoun-Adissoda C, Houinato D, Moussa Baldé N, Damasceno A, Viswanathan B, Amyunzu-Nyamongo M, Owuor J, Chiolero A, Bovet P. Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries. Nutrients. 2018; 10(8):1028. https://doi.org/10.3390/nu10081028
Chicago/Turabian StyleLeyvraz, Magali, Carmelle Mizéhoun-Adissoda, Dismand Houinato, Naby Moussa Baldé, Albertino Damasceno, Bharathi Viswanathan, Mary Amyunzu-Nyamongo, Jared Owuor, Arnaud Chiolero, and Pascal Bovet. 2018. "Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries" Nutrients 10, no. 8: 1028. https://doi.org/10.3390/nu10081028
APA StyleLeyvraz, M., Mizéhoun-Adissoda, C., Houinato, D., Moussa Baldé, N., Damasceno, A., Viswanathan, B., Amyunzu-Nyamongo, M., Owuor, J., Chiolero, A., & Bovet, P. (2018). Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries. Nutrients, 10(8), 1028. https://doi.org/10.3390/nu10081028